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Sharon Giese, plastic surgeon, weight loss expert and creator of the Elective Weight Loss program previously told Newsweek : "Many of these patients have tried 'everything' and have not been able to lose weight without some assistance

"Some people just think it's going to melt off, but it took time," Schram told Fox 26 about the weight

Increased physical activity: As patients begin a weight management programme, they often increase their exercise levels

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Patients often report an increase in spontaneous sexual thoughts, increased arousal response, restored sexual interest, and overall improved responsiveness to partner